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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_3740_Библиотеки_им_академика_М_И_Перельмана
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Index
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A
Abnormal papillary muscles, 64
Activated clotting time (ACT), 149
Adult lung transplant outcome, 127
Aleri edge-to-edge technique, 66, 83
Annular decalcication, 66, 91
Annular reconstruction, 101, 102
Annuloplasty devices, 68
Annuloplasty ring, 101
Annuloplasty sutures, 57, 68, 70, 84–86
Annulus, 68
Anterior leaet augmentation, 111
Anterior mitral valve leaet, 97, 99
Anterior septal rupture, 15
Anterior thoracotomy incision, 133
Anterolateral/posteromedial commissure, 98
Anterolateral thoracotomy, 134
Antibiotics, 98
Anticoagulation, 9
Aortic anastomosis, 143, 144, 152
Aortic annulus, 30
Aortic arch, replacement of, 118, 120
Aortic cross-clamp, 56
Aortic dissection, 118
Aortic regurgitation, 24
Aortic root complex, 45
Aortic root enlargement, geometric consideration for, 35
Aortic root replacement, 43
Aortic root suction, 4
Aortic valve, 113
Aortic valve prosthesis, 39
Aortic valve replacement, 29, 35
aortic valve anatomy, 26
aortic valve excision and debridement, 28, 29
aortic valve sizing, 29
aortotomy, 27, 28
myocardial protection, 29
surgical techniques, 25, 26
Arch anastomoses, 120
Ascending aorta, 120, 121
Atrial retractor, 90
Atrio-ventricular annular dilatation, 89
Atrioventricular dilation, 69
Atrioventricular groove, 101
Atrioventricular junction, 77, 105
Axillary arteries, 118, 119
B
Bacteraemia, 95
Balloon-tipped coronary sinus cannula, 35
Barlow’s deformity, 86
Barlow’s valve, 65, 66, 83, 86
Bayonet needle mount, 7
Bentall operations, 48
Bilateral lung ventilation, 134
Bileaet mechanical valves, 31
Billowing valve, 65
Bioprosthetic tricuspid valve, 113
Blood pressure, 10
Bovine pericardium, 98
Bovine pericardium patch reconstruction, 101
Bronchial anastomosis, 136
C
Calcic mitral stenosis, 24
Cardiac allograft vasculopathy, 147
Cardiac chamber muscle, 105
Cardiectomy, 131
Cardiopulmonary bypass (CPB), 9, 33, 44, 49, 56, 118, 120, 140, 165,
166
Cardiopulmonary bypass tubing, 56
Cardio-pulmonary transplantation, 127
Cardiothoracic retrieval team, 130
Carpentier functional classication, 63
Caudal traction, 151
Caval snares, 57
Central venous cannulation, 118
Chronic thromboembolic pulmonary hypertension (CTEPH), 165,
166, 169
Clam-shell or transverse thoraco-sternotomy, 134
Classical de Vega suture technique, 108
Clover stitch, 109
Collateral ventilation, 137
Commissural plication, 66
Commissural prolapse, 65, 78
Concomitant procedures, 169
Concurrent coronary artery bypass graft surgery, 14
Conduction tissue, 113
Conduit shortage, 8
Constrictive pericarditis, 173, 175, 176
Conventional open-heart surgery, 14
Conventional teaching, 176
Cooley clamp, 118
Cordal replacement, 66, 78
Coronary arteries, 6
Coronary artery bypass grafting (CABG)
anaesthetics, 9
anastomoses to anterior wall, 10, 11
conduit harvest, 10
inferior wall anastomoses, 11
lateral wall, 11
operating room setup and preparation, 9
postoperative management, 12
procedure, 3–7
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023
F. C. Wells (ed.), Atlas of Cardiac Surgery, Springer Surgery Atlas Series, https://doi.org/10.1007/978-3-031-43195-1
179
180
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Index
sequence of anastomoses, 10
set-up and positioning, 10
surgical technique, 9
technical considerations, 7
Coronary obstruction, 20
Coronary perfusion, 47
Coronary sinus, 113
Custom prostheses, 43
D
De Vega procedure, 105
“de Vega” technique, 106
De-airing, 47, 51
Deep cleft, 75
Deep hypothermic arrest (DHCA), 165
Deep pericardial sutures, 11
Dissection plane, 166
Distal anastomoses, 4–6
Distal trachea, 151
Domino heart transplant, 150
Donation after circulatory death (DCD), 126, 132
Donor heart preparation, 142, 146
Donor pulmonary venous cuff, 137, 138
E
Echocardiography, 23
Embolisation, 98
Emergency hospital admission, 19
Emergency surgery, 117
Endarterectomy, 166, 168
Endocarditis, 86
Endoscopic/open bridging technique, 9
Enterococcus Streptococcus faecalis, 95
Eustachian valve, 57
Exercise echocardiography, 23
Extensive annular calcication, 92
External debrillation pads, 58
Extracorporeal membrane oxygenation (ECMO), 126
F
Flail leaet, 65
Free wall rupture, 14
Frozen elephant trunk (FET) arch replacement, 117
Frozen elephant trunk device, 118
G
Gentle traction, 98
Gore-Tex suture, 79
H
Heart transplantation
contraindications, 125
indications, 125
outcomes, 125
Heart valve surgery
aortic regurgitation, 24
aortic stenosis, 24
mitral regurgitation, 23, 24
mitral stenosis, 24
tricuspid regurgitation, 24
Heart–lung transplantation
donor heart-lung implantation, 151–153
indications, 149
preparation of recipient, 149–151
Hemisternotomy, 52
Heparin, 3
Hilar structures, 150
Horizontal mattress sutures, 45
I
Implantable left ventricular assist devices (LVADs), 147
Inferior caval cannulation, 56
Inferior leaet imbrication, 110
Inferior left ventricular mass regression, 35
Inferior vena cava anastomosis, 144, 153
Inferior wall anastomoses, 11
Inferior wall target vessel revascularisation, 12
Infero-lateral commissural prolapse, 81
Intra-annular technique, 31
Intraoperative transoesophageal echocardiogram, 35
IVC anastomosis, 144
K
Konno-Rastan Technique, 35, 39
Kussmaul’s sign, 173
L
Lateral wall target vessel revascularisation, 11
Leaet coaptation, 65
Leaet height reduction, 72, 76
Leaet perforation, 98
Leaet prolapse, 65
Leaet resection, 65
Leaet techniques
Aleri edge to edge technique, 78, 83
commissural prolapse, 78
cordal replacement, 78
leaet height reduction, 72, 76
quadrangular resection of mural leaet, 70
sliding annuloplasty, 70, 72
triangular resection, 72
Leaet tethering, 113
Leaet transfer, 66
Left and right coronary ostia, 31
Left and right coronary sinuses, 31
Left anterior descending (LAD), 3
Left atrial anastomosis, 142
Left internal mammary artery (LIMA), 3
LIMA arteriotomy, 6
Limb ischaemia, 117
Lung dissection process, 132
Lung transplantation
common incisions for, 134
contraindications, 126, 127
implantation, 133–137
indications, 126
intraoperative ndings for, 130
main donor selection criteria for, 129
outcomes, 127
procurement, 129, 130, 132, 133
Lung ventilation, 153
Index
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181
M
Manouguian- Nunez Technique, 35, 37, 39
Mechanical Circulatory Support (MCS)
classication, 155, 156
complications, 157
DCD donor and recipient, 161
DCD transplantation, 160
ex-situ machine perfusion, 161, 162
implantation of LVAD, 156, 157
indications, 156
purpose, 155
total articial heart and biventricular assisted devices, 159, 160
Mechanical valves, 113
Median sternotomy, 44, 118, 149
Mesenteric ischaemia, 117
Midline sternotomy, 67
Minimal access procedures, 66
Minimally invasive aortic valve replacement (MIAVR)
cardiopulmonary bypass, 49, 50, 52
closure, 52
de-airing, 51
dissection, 49
incision, 49
post-operative care, 52
procedure, 50
venting, 50
Minimally invasive direct access coronary artery bypass (MIDCAB), 9
Mitral leaets, 64
Mitral regurgitation (MR), 23, 95, 105
Mitral stenosis, 24, 89
Mitral valve, 19, 64, 86, 87
horizontal trans-septal bi-atrial approach, 58
minimally access approaches, 58, 59, 62
patient positioning, 55
robotic mitral valve surgery, 62
standard left atriotomy, 57
superior left atrial roof approach, 58
surgical incision, 55–57
vertical trans-septal bi-atrial approach, 57
Mitral valve annulus, 95
Mitral valve endocarditis, 102
annular reconstruction, 101, 102
echocardiographical ndings, 95
indications for surgery, 98
leaet reconstruction, 98, 100
surgical strategy, 98
Mural leaet, 65, 92, 93
Myocardial and leaet inammation, 89
Myocardial infarction, 13
Myocardial inammation, 89
Myxomatous valve, 65
Organ explant, 131
Orthotopic heart transplantation
bi-atrial implantation technique, 145, 147
clinical outcomes, 147
de-airing and weaning, from CPB, 145
donor heart preparation, 142, 143
donor selection, 139
implantable left ventricular assist devices (LVADs), 147
implantation
aortic anastomosis, 143, 144
IVC anastomosis, 144, 145
left atrial anastomosis, 143
pulmonary artery anastomosis, 143
SVC anastomosis, 145
preoperative preparation, 139
recipient preparation, 139, 141
timing of surgery, 139
P
Papillary muscle rupture, 19
Papillary muscles, 20, 105
Paraplegia, 117
Parenchymal injury, 132, 137
Pericardial augmentation, 87
Pericardial reections, 151
Pericardial stay sutures, 10
Pericardiectomy, 173, 176
Pleural cavity, 133
Pneumonectomy, 134
5-0 polypropylene sutures, 36
3-0 polypropylene traction sutures, 151
Posterior leaet, 100
Posterior mitral valve annulus, 101
Posterior septal defect, 16
Posteromedial commissure, 100
Postinfarction anterior ventricular septal defect, 15–17
Postinfarction posterior ventricular septal defect, 17
Post-operatively careful medication, 176
Primary mitral regurgitation, 23
Primary tricuspid regurgitation, 24
Proximal anastomoses, 6, 7
Pulmonary artery, 151
Pulmonary artery anastomosis, 136, 143
Pulmonary artery trunk, 130
Pulmonary endarterectomy, 167
Pulmonary ligaments, 150
Pulmonary venous cuffs, 136
Q
Quality of life, 147
N
Native aortic annulus, 35
Near infrared spectrometry (NIRS), 118, 165
Neo-cords, 80
Nicks procedure, 35
Nicks Technique, 36
Non-coronary annulus, 31
O
Octopus retractor, 10
Octopus®, 10, 11
R
Rapid deployment valves, 50
Recipient chest cavity, 141
Recipient heart, 150
Recipient preparation, 146
Recipient right atrium (RA), 140
Rectangular pledgets, 45
Recurrent tricuspid regurgitation, 108
Recurrently laryngeal nerve palsy, 117
Residual atelectasis, 132
Retrograde perfusion, 132
182
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Index
Rheumatic mitral valve disease
annular decalcication, 91
mitral valve reconstruction, 91, 93
surgical techniques, 89, 90
valve orientation, 90
valve replacement, 90
Rheumatic tricuspid valve, 114
Rheumatic valve disease, 89, 113
Right atrial anastomosis, 146
Right atriotomy, 113
Right coronary artery, 107, 113
Right femoral artery, 58
Right pulmonary artery, 121
Right ventricular muscular free wall, 105
Robotic mitral valve surgery, 62
S
Scored pericardium, 178
Secondary mitral Regurgitation, 23
Secondary tricuspid Regurgitation, 24
Seldinger technique, 58
Sequential grafting, 7, 8
Severe mitral annular calcication, 84
Severe mitral regurgitation, 97
SEXI techniques, 4
Sinotubular junction (STJ), 44
Sliding annuloplasty, 70, 72, 73
St Judes Medical Valve Sizer, 45
Standard left atriotomy, 57
Staphylococccus epidermidis, 95
Staphylococcus aureus, 95
Stented bioprosthesis, 31
Sternotomy, 153
Streptococcus viridans, 95
Stroke, 117
Sub valve repair techniques, 112
Subannular suture, 45
Subsegmental disease, 167
Subvalvular structures, 98
Superior vena cava, 58
Superior vena caval anastomosis, 145
Surgical incision, 55–57
Swan-Ganz catheter, 118
Systemic embolisation, 98
Systolic pulmonary artery pressure (SPAP), 23
T
2 4/0 Teon Prolene sutures, 51
Temporary pacing wires, 52
Tendinous cords, 105
Tracheal anastomosis, 152
Transesophageal echocardiography, 33
Transient bacteremia, 95
Transoesophageal echocardiographic assessment, 47–48
Trans-oesophageal echocardiographic images, 95
Transoesophageal echocardiography, 145
Transverse aortotomy incision, 27, 33
Trapezoidal resection, 79
Triangular resection, 72
Tricuspid annular dilatation, 108
Tricuspid regurgitation, 24, 106, 107
Tricuspid valve, 106, 113
Tricuspid valve bioprosthesis, 113, 114
Tricuspid valve disease techniques
annuloplasty band, insertion of, 107
anterior leaet augmentation with pericardium, 111
clover leaf stitch, 109
de Vega annuloplasty, 108
inferior leaet imbrication stitch, 110
sub valve repair techniques, 112
Tricuspid valve replacement, 114
U
Urinary catheter, 118
V
Vagus nerves, 150
Valsalva graft, 45
Valve exposure, 66
Valve orientation, 90
Valve preservation, 43
Valve repair, 46
Valve replacement, 86, 114
Valve Sparing Aortic Root Replacement (VSARR), 43
Vascular graft, 119
Venous cannulae, 56
Ventricular chamber, 13
Ventricular free wall rupture, 13, 18
Ventricular septal defect, 13–15
Vital adjacent neurovascular structures, 117
Y
Y technique, 35, 42
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